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Case Reports
. 2021 Mar 22:33:100465.
doi: 10.1016/j.tcr.2021.100465. eCollection 2021 Jun.

Incidental aortic coarctation in traumatic subclavian artery injury

Estelle van der Merwe  1 , Shumani Makhadi  1 , Maeyane S Moeng  1
Affiliations
Case Reports

Incidental aortic coarctation in traumatic subclavian artery injury

Estelle van der Merwe et al. Trauma Case Rep. .

Erratum in

Abstract

Subclavian artery injuries are complex and challenging due to anatomy and exposure during surgery. The surgical management depends on the mechanism of injury, the patient's haemodynamic stability and other injuries sustained. If control of bleeding is lost during surgery, it results in immediate exsanguination, with high mortality and morbidity rates. New techniques with endovascular surgery have changed the approach and outcome of these injuries. In this case report, an incidental finding of coarctation of the aorta in a 32-year-old man after sustaining a gunshot to the chest, with a subsequent subclavian artery injury is reported.

Keywords: Aortic coarctation; Endovascular stenting; Subclavian artery injury; Trauma.

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Figures

Fig. 1
Fig. 1
CXR on admission, pre-ICD insertion.
Fig. 2
Fig. 2
CT angiogram neck: subclavian artery injury indicated.
Fig. 3
Fig. 3
CT Angiogram chest: aortic arch defect identified- coarctation of the aorta.
Fig. 4
Fig. 4
Angiogram- size 12 covered stent placed in the Subclavian artery, multiple collaterals observed.
Fig. 5
Fig. 5
Angiogram post stent placement- coarctation of aorta identified.
Fig. 6
Fig. 6
Angiogram- stent in-situ.
See this image and copyright information in PMC

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